Factors affecting male fertility: a review
https://doi.org/10.23946/2500-0764-2021-6-2-124-135
Abstract
Male infertility is an urgent medical and demographic threat worldwide, in particular in industrial regions suffering from environmental pollution. Here we performed an analysis of epidemiological studies and meta-analyses of prevalence, causes, and risk factors of male reproductive disorders. Among the well-defined risk factors determining male infertility are hormonal imbalance, sexually transmitted infections, other inflammatory diseases, hereditary mutations, and congenital malformations. Less studied causes of male infertility are acquired mutations and gene polymorphisms, immune disorders, oxidative stress, and chronic conditions. To date, there is no consensus on the contribution of lifestyle, bad habits, working environment, and climatic factors to male infertility. As such, 40-50% male infertility cases are characterized as idiopathic.
About the Authors
N. A. LitvinovaRussian Federation
A. I. Lesnikov
Russian Federation
T. A. Tolochko
Russian Federation
A. A. Shmelev
Russian Federation
References
1. Agarwal A, Mulgund A, Hamada A, Chyatte MR. A unique view on male infertility around the globe. Reprod Biol Endocrinol. 2015;13:37. https://doi.org/10.1186/s12958-015-0032-1
2. Lebedev GS, Golubev NA, Shaderkin IA, Shaderkina VA, Apolikhin OI, Sivkova NV, Komarova VA. Male infertility in the Russian Federation: statistical data for 2000-2018. Experimental and clinical urology. 2019;(4):4- 12. (In Russ.). https://doi.org/10.29188/2222-8543-2019-11-4-4-12
3. Fillipov OS. Prichiny i faktory razvitiya besplodiya sredi naseleniya Sibiri. Epidemiologiya i infektsionnye bolezni. Epidemiology and infectious diseases. 2002;(3):47. (In Russ.).
4. Ustinova TA, Artymuk NV, Vlasova VV, Pyzhov AYa. Infertility in couples of Kemerovo region. Mother and baby in Kuzbass. 2010;1(40):37-39. (In Russ.).
5. Frolova NI, Belokrinitskaya TE, Anokhova LI, Kadalova NV, Lugovskaya OV, Yakimova YV, Ananjina DA, Turanova OV. Prevalence and characteristics of infertility in young women of reproductive age living in zabaykalsky district. Acta Biomed Sci (Bulletin of East Siberian scientific center SB RAMS). 2014;4(98):54-58. (In Russ.).
6. Pushkar DY, Kamalov AA, Al-Shukri SH, Erkovich AA, Kogan MI, Pavlov VN, Zhuravlev VN, Bernikov AN. Epidemiological study of prevalence of erectile dysfunction in the Russian Federation. Ural Medical Journal. 2012;3(95):75-79. (In Russ.).
7. Urology according to Donald Smith. Tanago E, Makaninicha J, editors. Мoscow: Praktika; 2005. (In Russ.).
8. Ter-Avanesov GV. Andrologicheskie aspekty besplodnogo braka. Мoscow: NTs AGiP RAMN; 2000. (In Russ.).
9. Nieschlag E, Behre HM, Nieschlag S, editors. Andrology: Male reproductive health and dysfunction. Berlin: Springer Verlag; 2010. 10. Nekrasova NN. Male hypogonadism. Clinical gerontology. 2006;12(5):49- 55. (In Russ.).
10. Tavokin LV. Muzhskoe besplodie, geneticheskie aspekty. Pochki. 2014;(2):9-13. (In Russ.).
11. Johnson MD. Genetic risks of intracytoplasmic sperm injection in the treatment of male infertility: recommendations for genetic counseling and screening. Fertil Steril. 1998;70(3):397-411. https://doi.org/10.1016/ s0015-0282(98)00209-x
12. Practice Committee of the American Society for Reproductive Medicine. Diagnostic evaluation of the infertile male: a committee opinion. Fertil Steril. 2015;103(3):e18-25. https://doi.org/10.1016/j.fertnstert.2014.12.103
13. Jungwirth A, Giwercman A, Tournaye H, Diemer T, Kopa Z, Dohle G, Krausz C; European Association of Urology Working Group on Male Infertility. European Association of Urology guidelines on Male Infertility: the 2012 update. Eur Urol. 2012;62(2):324-32. https://doi.org/10.1016/j.eururo.2012.04.048
14. Okulov AB, Negmadzhanov BB. Khirurgicheskie bolezni reproduktivnoy sistemy i sekstransformatsionnye operatsii. Moscow : Medicine ; 2000. (In Russ.).
15. Erokhin AP, Volozhin SI. Kriptorkhizm. Moscow : Medicine ; 1995. (In Russ.).
16. Barthold, J. Abnormalities of the testis and scrotum and their surgical management. In: Wein AJ. Campbell-Walsh Urology. 10th Ed. Philadelphia: Elsevier Saunders; 2012:3557-3599. https://doi.org/10.1016/B978-1-4160-6911-9.00132-8
17. Polyakova MV. Perspectivesof spermatogonial stem cellsuse for investigation of spermatogenesis mechanisms and for treatment of male infertility. Andrology and Genital Surgery. 2016;17(4):17-20. (In Russ.). https://doi.org/19.10.17650/2070-9781-2016-17-4-17-20
18. Kogan MI, Afoko A, Tampuori D, Asanti-Asamani A, Pipchenko OI. Varikotsele: protivorechivaya problema. Urologiya. 2009;(6):67-71. (In Russ.).
19. Nikitin OD, Basilica SV. Efficacy of surgical treatment of varicocele in terms of recovery of reproductive function. Klinichna Hirurgiya. 2013;10:63-66. (In Russ.).
20. Loran ОВ, Sokolyshchik MM, Gagarina SV, Stoiko YuM, Golitsyn AV. Choice of surgical correction of varicocele based on venous hemodynamics. Urologiya. 2006;5:24-29. (In Russ.).
21. van der Horst HJ, de Wall LL. Hypospadias, all there is to know. Eur J Pediatr. 2017;176(4):435-441. https://doi.org/10.1007/s00431-017-2864-5
22. Carlsen E, Giwercman A, Keiding N, Skakkebaek NE. Evidence for decreasing quality of semen during past 50 years. BMJ. 1992;305(6854):609-613. https://doi.org/10.1136/bmj.305.6854.609
23. Hamilton TR, Mendes CM, de Castro LS, de Assis PM, Siqueira AF, Delgado Jde C, Goissis MD, Muiño-Blanco T, Cebrián-Pérez JÁ, Nichi M, Visintin JA, Assumpção ME. Evaluation of Lasting Effects of Heat Stress on Sperm Profile and Oxidative Status of Ram Semen and Epididymal Sperm. Oxid Med Cell Longev. 2016;2016:1687657. https://doi.org/10.1155/2016/1687657
24. Shibahara H, Shiraishi Y, Hirano Y, Suzuki T, Takamizawa S, Suzuki M. Diversity of the inhibitory effects on fertilization by anti-sperm antibodies bound to the surface of ejaculated human sperm. Hum Reprod. 2003;18(7):1469-73. https://doi.org/10.1093/humrep/deg241
25. Айзикович Б.И. Айзикович И.В., Верба О.Ю., Козлов В.А. Роль цитокинов в регуляции сперматогенеза: современный взгляд на проблему. Иммунология. 2008;3:191-193 [Aizikovich BI, Alzlkovlch IV, Verba OYu, Kozlov VA. Cytokine role in spermatogenesis: modern opinion on prob- 191lem. Immunology. 2008;(3):191-193. (In Russ.).]
26. Madar J, Urbánek V, Chaloupková A, Nouza K, Kinský R. Role protilátkové a bunĕcné autoimunity proti spermiím v patogenezi muzské neplodnosti [Role of sperm antibodies and cellular autoimmunity to sperm in the pathogenesis of male infertility]. Ceska Gynekol. 2002;67(1):3-7
27. Schumacher GF. Immunology of spermatozoa and cervical mucus. Hum Reprod. 1988;3(3):289-300. https://doi.org/10.1093/oxfordjournals. humrep.a136698
28. Costa P, Avances C, Wagner L. Dysfonction érectile: connaissances, souhaits et attitudes. Résultats d'une enquête française réalisée auprès de 5.099 hommes âgés de 18 ans à 70 ans [Erectile dysfunction: knowledge, wishes and attitudes. Results of a French study of 5.099 men aged 17 to 70]. Prog Urol. 2003;13(1):85-91.
29. Beutel ME, Weidner W, Brähler E. Epidemiology of sexual dysfunction in the male population. Andrologia. 2006;38(4):115-121. https://doi.org/10.1111/j.1439-0272.2006.00730.x
30. Mann K, Pankok J, Connemann B, Sohn M, Thüroff JW, Benkert O. Sleep investigations in erectile dysfunction. J Psychiatr Res. 2005;39(1):93-99. https://doi.org/10.1016/j.jpsychires.2004.05.007
31. Савичева А.М. Этиологическая диагностика и терапия репродуктивно значимых инфекций. Трудный пациент. 2007;1(5):21-28 [Savicheva AM. Etiologicheskaya diagnostika i terapiya reproduktivno znachimykh infektsiy. Trudnyy patsient. 2007;1(5):21-28 (In Russ.).]
32. Imudia AN, Detti L, Puscheck EE, Yelian FD, Diamond MP. The prevalence of ureaplasma urealyticum, mycoplasma hominis, chlamydia trachomatis and neisseria gonorrhoeae infections, and the rubella status of patients undergoing an initial infertility evaluation. J Assist Reprod Genet. 2008;25(1):43-6. https://doi.org/10.1007/s10815-007-9192-z
33. Gdoura R, Kchaou W, Chaari C, Znazen A, Keskes L, Rebai T, Hammami A. Ureaplasma urealyticum, Ureaplasma parvum, Mycoplasma hominis and Mycoplasma genitalium infections and semen quality of infertile men. BMC Infect Dis. 2007;7:129. https://doi.org/10.1186/1471-2334-7-129
34. Pahune PP, Choudhari AR, Muley PA. The total antioxidant power of semen and its correlation with the fertility potential of human male subjects. J Clin Diagn Res. 2013;7(6):991-995. https://doi.org/10.7860/JCDR/2013/4974.3040
35. Esteves SC. Clinical management of infertile men with nonobstructive azoospermia. Asian J Androl. 2015;17(3):459-470. https://doi.org/10.4103/1008-682X.148719
36. Male Infertility Best Practice Policy Committee of the American Urological Association; Practice Committee of the American Society for Reproductive Medicine. Report on evaluation of the azoospermic male. Fertil Steril. 2006;86(5 Suppl 1):S210-215. https://doi.org/10.1016/j.fertnstert.2006.08.030
37. Jarvi K, Lo K, Fischer A, Grantmyre J, Zini A, Chow V, Mak V. CUA Guideline: The workup of azoospermic males. Can Urol Assoc J. 2010;4(3):163-167. https://doi.org/10.5489/cuaj.10050
38. Dohle GR, Diemer T, Kopa Z, Krausz C, Giwercman A, Jungwirth A; European Association of Urology Working Group on Male Infertility. European Association of Urology guidelines on vasectomy. Eur Urol. 2012;61(1):159-163. https://doi.org/10.1016/j.eururo.2011.10.001
39. Chiba K, Enatsu N, Fujisawa M. Management of non-obstructive azoospermia. Reprod Med Biol. 2016;15(3):165-173. https://doi.org/10.1007/s12522-016-0234-z
40. Rowe PJ, Comhaire FH, Hargreave TB, Mellows HJ. WHO Manual for the Standardised Investigation and Diagnosis of the Infertile Couple. Cambridge, Mass. ; Cambridge University Press; 2000. https://apps.who.int/iris/handle/10665/36983
41. Radchenko OR, Urazmanov AR. Algorithm for estimating the risk of male infertility in the context of social and antropotehnogennoy load. Sovremennye problemy nauki i obrazovaniya = Modern Science and Education Problems. 2011;(5):29. (In Russ.)].
42. Kovac JR, Khanna A, Lipshultz LI. The effects of cigarette smoking on male fertility. Post grad Med. 2015;127(3):338-341. https://doi.org/10.1080/00325481.2015.1015928
43. Zhang ZH, Zhu HB, Li LL, Yu Y, Zhang HG, Liu RZ. Decline of semen quality and increase of leukocytes with cigarette smoking in infertile men. Iran J Reprod Med. 2013;11(7):589-596.
44. Gaskins AJ, Mendiola J, Afeiche M, Jørgensen N, Swan SH, Chavarro JE. Physical activity and television watching in relation to semen quality in young men. Br J Sports Med. 2015;49(4):265-270. https://doi.org/10.1136/bjsports-2012-091644
45. Harlev A, Agarwal A, Gunes SO, Shetty A, du Plessis SS. Smoking and Male Infertility : An Evidence-Based Review. World J Mens Health. 2015;33(3):143-160. https://doi.org/10.5534/wjmh.2015.33.3.143
46. Gude D. Alcohol and fertility. J Hum Reprod Sci. 2012;5(2):226-228. https://doi.org/10.4103/0974-1208.101030.
47. Jensen TK, Gottschau M, Madsen JO, Andersson AM, Lassen TH, Skakkebæk NE, Swan SH, Priskorn L, Juul A, Jørgensen N. Habitual alcohol consumption associated with reduced semen quality and changes in reproductive hormones; a cross-sectional study among 1221 young Danish men. BMJ Open. 2014;4(9):e005462. https://doi.org/10.1136/bmjopen-2014-005462
48. Hamilton TR, Mendes CM, de Castro LS, de Assis PM, Siqueira AF, Delgado Jde C, Goissis MD, Muiño-Blanco T, Cebrián-Pérez JÁ, Nichi M, Visintin JA, Assumpção ME. Evaluation of Lasting Effects of Heat Stress on Sperm Profile and Oxidative Status of Ram Semen and Epididymal Sperm. Oxid Med Cell Longev. 2016;2016:1687657. https://doi.org/10.1155/2016/1687657
49. Thonneau P, Bujan L, Multigner L, Mieusset R. Occupational heat exposure and male fertility: a review. Hum Reprod. 1998;13(8):2122-2125. https://doi.org/10.1093/humrep/13.8.2122
50. Daumler D, Chan P, Lo KC, Takefman J, Zelkowitz P. Men's knowledge of their own fertility: a population-based survey examining the awareness of factors that are associated with male infertility. Hum Reprod. 2016;31(12):2781-2790. https://doi.org/10.1093/humrep/dew265
51. Akbay E, Cayan S, Doruk E, Duce MN, Bozlu M. The prevalence of varicocele and varicocele-related testicular atrophy in Turkish children and adolescents. BJU Int. 2000;86(4):490-493. https://doi.org/10.1046/j.1464- 410x.2000.00735.x
52. Gaskins AJ, Mendiola J, Afeiche M, Jørgensen N, Swan SH, Chavarro JE. Physical activity and television watching in relation to semen quality in young men. Br J Sports Med. 2015;49(4):265-270. https://doi.org/10.1136/bjsports-2012-091644
53. Arce JC, De Souza MJ, Pescatello LS, Luciano AA. Subclinical alterations in hormone and semen profile in athletes. Fertil Steril. 1993;59(2):398- 404.
54. Daumler D, Chan P, Lo KC, Takefman J, Zelkowitz P. Men's knowledge of their own fertility: a population-based survey examining the awareness of factors that are associated with male infertility. Hum Reprod. 2016;31(12):2781-2790. https://doi.org/10.1093/humrep/dew265
55. Vaziri MH, Sadighi Gilani MA, Kavousi A, Firoozeh M, Khani Jazani R, Vosough Taqi Dizaj A, Mohseni H, Bagery Lankarani N, Azizi M, Salman Yazdi R. The Relationship between Occupation and Semen Quality. Int J Fertil Steril. 2011;5(2):66-71.
56. Lancranjan I, Popescu HI, GAvănescu O, Klepsch I, Serbănescu M. Reproductive ability of workmen occupationally exposed to lead. Arch Environ Health. 1975;30(8):396-401. https://doi.org/10.1080/00039896.1975.10666733
57. Whorton D, Krauss RM, Marshall S, Milby TH. Infertility in male pesticide workers. Lancet. 1977;2(8051):1259-1261. https://doi.org/10.1016/ s0140-6736(77)92665-4
Review
For citations:
Litvinova N.A., Lesnikov A.I., Tolochko T.A., Shmelev A.A. Factors affecting male fertility: a review. Fundamental and Clinical Medicine. 2021;6(2):124-135. (In Russ.) https://doi.org/10.23946/2500-0764-2021-6-2-124-135